Table 2 Comparison of the current national service framework for coronary heart
disease cholesterol screening criteria, the Sheffield tables, age thresholds,
and estimated risk assessments. Values are percentages (95% confidence
intervals) unless stated otherwise
|
Strategy to identify people for cholesterol measurement
|
Adults (aged 30-74 years with no previous history of MI, stroke, angina)
identified for cholesterol measurement
|
People at ≥ 15% risk identified
|
No of cholesterol measurements needed to identify one person at ≥ 15%
risk (yield)
|
National service framework criteria
|
43.4 (42.2 to 44.6)
|
81.2 (80.2 to 82.2)
|
3.2
|
Sheffield tables
|
73.1 (72.0 to 74.2)
|
99.91 (99.83 to 99.99)
|
4.4
|
All people aged ≥50 years
|
46.3 (45.1 to 47.5)
|
92.8 (92.1 to 93.4)
|
2.9
|
All people whose estimated risk calculated by using fixed TC:HDL (5.3 in men
and 4.6 in women) is ≥15%
|
17.8 (16.8 to 18.7)
|
75.9 (74.8 to 76.9)
|
1.4
|
National service framework criteria plus Sheffield tables
|
78.4 (77.4 to 79.4)
|
99.91 (99.83 to 99.99)
|
4.7
|
National service framework criteria plus all those ≥50 years
|
60.9 (59.8 to 62.2)
|
97.5 (97.2 to 97.9)
|
3.7
|
National service framework criteria plus all those whose estimated risk
calculated by using fixed TC:HDL is ≥15%
|
46.8 (45.5 to 48.0)
|
93.4 (92.7 to 93.9)
|
3.0
|
|
MI=myocardial infarction; TC:HDL=ratio of total cholesterol to high density
lipoprotein cholesterol.